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Frequently Asked Questions at Our Long Island LASIK and Laser Vision Correction Center

Am I a candidate for LASIK surgery?

Candidates for LASIK vision correction are over 18 years old and suffer from a refractive error that has been stable for at least two years. If you have overly dry eyes or thin corneas, they may preclude you from undergoing LASIK, as can certain diseases and medications. 

Remember that even if you are not a candidate for LASIK, there is another procedure — such as PRK, — that can help treat your refractive errors and give you the vision you have always wanted. Contact our LASIK laser vision correction office today if you have questions about your LASIK candidacy, or are interested in undergoing any type of laser vision correction treatment.

What are the risks of LASIK surgery?

While side effects of LASIK surgery are rare, especially if one undergoes custom LASIK at our Long Island practice, they can occur.

Most commonly, LASIK vision correction results in an overcorrection or undercorrection of your refractive error, which might create a need for a fine-tuning of the LASIK procedure or the wearing of glasses or contacts.

LASIK vision correction can also induce higher-order aberrations such as halos, shadows, or glare. Again, this risk is significantly reduced by custom LASIK, which is guided by a detailed Wavefront™ map of your eyes’ unique aberrations going into the procedure.

LASIK can induce or worsen dry eye symptoms. It’s also possible that your vision can regress after LASIK surgery.

While not all potential complications of LASIK laser vision correction can be discussed here, Weinstein Refractive Center treats any of our patients’ LASIK complications at no cost.

If I am not a candidate for LASIK surgery, do I have other options?

Absolutely! PRK are both refractive surgery procedures that can address the same vision problems as LASIK — namely, farsightedness, nearsightedness, astigmatism, or a combination of these conditions. 

PRK was the most commonly performed refractive surgery procedure before LASIK became the procedure of choice, and still has some advantages over LASIK for certain patients.

Performed at our Long Island practice, PRK surgery can correct astigmatism, nearsightedness, and farsightedness. Some people are precluded from undergoing LASIK because of thin corneas or large pupils, and PRK is the preferred procedure to help such people.

During the procedure, which is performed with the same excimer laser as LASIK, Dr. Weinstein will remove the surface layer of epithelial cells – the cells covering your cornea, the clear part of your eye. The inner cornea is then gently reshaped with the excimer laser.

Patients feel virtually no pain during PRK surgery, as their eyes have been numbed using anesthetic eye drops. PRK, however, is associated with a longer recovery time than LASIK. It takes two to four days for the surface epithelium of your eyes to grow back. Following surgery, you will wear “bandage” contact lenses and use antibiotic and anti-inflammatory eye drops.

The results and possible side effects of PRK eye surgery are similar to that of LASIK. Most people achieve 20/20 vision or better from PRK.

What is IntraLase® bladeless LASIK?

Traditionally, the very first step of the LASIK vision correction surgery – the creation of the corneal flap — is also the most problematic. When the flap is created with a microkeratome, the instrument can malfunction or create a crooked flap, which can postpone surgery. An imperfect flap can also complicate healing and create visual side effects.

IntraLase® bladeless LASIK, however, does not make use of a microkeratome and instead employs a precise laser in the creation of the corneal flap. The IntraLase® laser works by delivering rapid pulses of light to the cornea; each pulse creates a tiny bubble, and as the laser is passed over the cornea, these bubbles connect to form a smooth, beveled flap. This thin flap is easy to reposition after treatment and promotes uncomplicated healing.

Once the corneal flap is created using the IntraLase® laser, the excimer laser – guided by the VISX® Star 4 automated system — is used for LASIK vision correction as usual. 

Patients with steep, flat or thin corneas — those who might have been ineligible to undergo traditional LASIK — can be successfully treated with IntraLase® bladeless LASIK. In addition, the bladeless technique is unparalleled in its ability to deliver impressive visual outcomes: in studies, IntraLase® bladeless LASIK was shown to deliver 20/20 vision more often than other methods.

Learn more about IntraLase® bladeless LASIK

What is CustomVue™ Iris Registration LASIK?

CustomVue™ LASIK vision correction includes special iris registration technology, the first fully automated method of aligning the excimer laser to your eyes and their unique treatment areas.

Learn more about CustomVue™ iris registration

What is the VISX® Star 4 laser vision correction system?

The VISX® Star 4 excimer laser system is an automated, fully customizable system that carries out the precise reshaping of your corneas during LASIK surgery. This laser system is designed to perform this ablation better than was previously possible, and to promote better healing.

Learn more about the VISX® Star 4 system

Will I have to wear glasses or contacts following LASIK vision correction?

The overcorrection or undercorrection of your refractive error is always a possibility. This may cause you to wear glasses or contacts, or to return for a touch-up LASIK procedure. It’s also possible that your vision will regress following LASIK surgery, and again this may cause you to use glasses or contacts, or to seek a touch-up procedure.

Is LASIK surgery painful?

No. LASIK vision correction surgery involves minimal sensation. Your eyes will be numbed with special topical eye drops before the surgery starts. Your may feel some mild discomfort for the first few hours after surgery, but this will quickly pass.

What is the recovery like after LASIK surgery?

LASIK vision correction is designed to promote a quick and virtually painless healing period. Immediately following surgery at our Long Island practice, your vision will be blurry. At this point, a companion should drive you home from the surgery center and you should lie down and relax to let the corneal flap stabilize. Your vision should be quite clear the morning after surgery, and you may return to work at this time.

For five to six days, you will use drops to promote healing and fight infection. You must not rub your eyes for two weeks, and you should avoid dusty or gritty areas (baseball fields, construction sites, etc.), swimming, and makeup, in order to aid flap healing.

How can I pay for refractive surgery at Weinstein Refractive Center?

At Weinstein Refractive, we make it easy to pay for your refractive surgery. In addition to accepting all major credit cards, we encourage our patients to look into a Flex Plan and the Capital One® Vision Fee Plan as ways to finance refractive surgery.

To learn more about refractive surgery at our Long Island practice, contact our center for LASIK laser vision correction today.

General Vision and Eye Anatomy

What is myopia (nearsightedness)? How can it be treated?

Myopia, or nearsightedness, is caused when the eyeball is longer than normal, causing light rays to focus in front of the retina, instead of directly on it. Those with myopia have no problems seeing objects up close, but distant objects such as chalkboards or movie screens will appear blurry.

Myopia can be treated with glasses, contacts, or laser vision correction surgery such as LASIK, or PRK. To surgically correct myopia, the cornea will be made slightly flatter, causing light to focus at the correct point at the back of the eye.

What is farsightedness? How can it be treated?

Farsightedness, or hyperopia, is caused when the eyeball is flatter than normal. As a result, light focuses behind the retina, and people have trouble seeing objects that are up close.

Hyperopia is distinct from presbyopia, an age-related condition that also causes problems with up-close vision.

Laser vision correction surgery such as LASIK can correct or improve your farsightedness by making your cornea steeper.

What is astigmatism? How can it be treated?

Astigmatism is caused by an irregularly shaped cornea or lens and may accompany either nearsightedness or farsightedness. Astigmatism can cause blurry vision, eye strain, and/or headaches. Usually, astigmatism causes light to focus at two points in the back of the eye, instead of one. The condition is often hereditary.

Contact lenses, glasses, or laser vision correction options such as LASIK can help ease the symptoms of astigmatism. Contact our Long Island laser vision correction center today to discuss which procedure would best treat astigmatism.

What is monovision?

Monovision is a condition when one eye provides distance vision and the other provides near vision. It can be induced using contact lenses or monovision IOLs, and is a common way of addressing presbyopia (the loss of up-close vision that comes with age).

Your brain usually adjusts to monovision, but in cases when it can’t, you will experience blurry vision viewing things both up-close and at a distance. LASIK can be done with monovision.

What is presbyopia? How can it be treated?

Presbyopia is an age-related condition that compromises the eyes’ lenses. When your lenses work properly, they are elastic and can change shape depending on where the eye is focusing. Lenses affected by presbyopia, however, lose their elasticity and thus their focusing ability. Presbyopia is the primary reason why older people need reading glasses – their eyes have lost the ability to focus up close.

Presbyopia can be treated with a multifocal lens implant. These lenses can focus at many different distances and reduce or eliminate the need to wear glasses.

Such multifocal lens implants are easily implanted in the eye during surgery. They represent a huge step in the treatment of eye conditions that compromise the lens, such as presbyopia and cataracts. Contact Weinstein Refractive Center in Long Island to learn more about this treatment for presbyopia.

Cataracts and Multifocal Lens Implants

What are multifocal lens implants?

Multifocal lens implants are artificial lens implants that help restore the vision of a patient afflicted with cataracts, presbyopia, or another condition that compromises the eyes’ natural lenses. Multifocal lens implants are so named because they provide good vision at close distances as well as far — replacing or supplementing the wearing of bifocals.

Multifocal lenses are offered at Weinstein Refractive Center to patients with cataracts or presbyopia — both age-related eye conditions that affect the lens. These lenses are painlessly implanted into the eye through the same tiny incision made during cataract surgery. They mimic the abilities of a young, healthy lens, giving patients good vision.

What are cataracts and how are they treated?

Cataracts are the clouding or discoloration of the eyes’ natural lenses which commonly comes with aging. There are many types of cataracts, including nuclear cataracts, which appear in the center of the lens; cortical cataracts, common in diabetics; and posterior subcapsular cataracts, which begin at the back of the lens. The causes of cataracts are multiple. Cataracts can threaten your vision if not removed during cataract surgery.

In the past, patients afflicted with cataracts were removed and the patient was forced to wear thick glasses for the rest of their days. Today, however, intraocular implants replace the eyes’ diseased lenses, giving patients good vision following cataract surgery and eliminating or supplementing bifocals.

To learn more about cataracts or bifocal lens implants, or to schedule a consultation, contact our Long Island practice today.

Refractive Surgery

How do I get started with refractive surgery?

If you live on or near Long Island and are interested in undergoing LASIK or laser vision correction of any kind, contact Weinstein Refractive Center today. During your free consultation and eye evaluation, Dr. Weinstein will determine which type of refractive surgery option is best for you.

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I have been going to Dr Weinstein for years and I love him! Finally did LASIK and it was the best decision of my life. I'm a few months out now and I am doing and seeing great!

-Michelle M.
Commack, NY